NPIMap

Individual provider Active NPI

Shira Adina Kamm Alberts, CRNP

  • Family Nurse Practitioner
  • Springfield, PA
National Provider Identifier
1083369649
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025146 Issued in PA
Practice address
795 Baltimore Pike
Springfield, PA 19064-3967
Phone
(610) 690-5100
NPI assigned
Feb 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP025146 PA Primary

Addresses

Primary practice location

795 Baltimore Pike
Springfield, PA 19064-3967

Mailing address

795 Baltimore Pike
Springfield, PA 19064-3967
Phone (610) 690-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220421000319 PA Practitioner - Nurse Practitioner 0648667634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Philadelphia Health Action IncGroup PAC ID 9537064977, 70 clinicians

Practice addresses (Care Compare)

5000 Woodland Ave
Philadelphia, PA 19143-5137
Phone (215) 726-9807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP025146PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Mar 1, 2024 Accepting new patients
Greater Philadelphia Health Action Inc. Past Accepting new patients

Locations

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

1401 S 31st St
Philadelphia, PA 19146
Phone (215) 755-7700

5000 Woodland Ave
Philadelphia, PA 19143
Phone (215) 726-9807

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

Interoperability endpoints

  • Direct secure messaging: shira.albertsfnp.p1@direct.gpha.nextgenshare.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644624000000",
    "number": "1083369649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 BALTIMORE PIKE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643967",
            "telephone_number": "610-690-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 BALTIMORE PIKE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643967",
            "telephone_number": "610-690-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTS",
        "first_name": "SHIRA",
        "middle_name": "ADINA KAMM",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-12",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.